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General NPI Number Information
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NPI Number | 1770583726
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Entity Type | Individual
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Provider Name | KYLE PRATT NIELSON MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | VA SOUTHERN NEVADA HEALTHCARE SYSTEM 6900 NORTH PECOS ROAD
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89086-4400
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Country | US
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Telephone | 702-799-9000
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Fax | 702-224-6937
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Provider Business Mailing Address
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Address Line | 9790 BRIGHT ANGEL WAY
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City | LAS VEGAS
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State | NV
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Zip | 89149-1332
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Country | US
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Telephone | 702-235-4955
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 5547
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License Number State | NV
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